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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ODR PEDIATRIC UROLOGY INSTITUTE PLLC
NPI 1184280695
Urology - Pediatric Urology in Houston, TX

Active since May 10, 2019CLIA 45D2177701 · Waiver
12000 RICHMOND AVE STE 175, HOUSTON, TX 77082(713) 366-7931(713) 482-5815 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2026, Apr 11, 2022, Sep 18, 2019 and 1 more (4 updates tracked since 2019).

About Odr Pediatric Urology Institute Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODR PEDIATRIC UROLOGY INSTITUTE PLLC (NPI 1184280695), doing business as Crescent Urology Institute, is a healthcare organization registered as a pediatric urology in Houston, Texas and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through January 15, 2028, maintains a secondary practice location in Houston, and lists Dung Q Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1184280695
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameODR PEDIATRIC UROLOGY INSTITUTE PLLC
Location Address12000 RICHMOND AVE STE 175Houston, TX 77082-2963
Mailing Address12000 Richmond Ave Ste 175Houston, TX 77082-2963 · (713) 366-7931 · Fax (713) 482-5815
Phone(713) 366-7931
Fax(713) 482-5815
Organization SubpartYesParent: Odr Pediatric Urology Institute
Authorized OfficialDung Q PhamOwner · (713) 366-7831
Enumeration DateMay 10, 2019
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1184280695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X
12000 RICHMOND AVE STE 175, Houston, TX 77082
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Other Names 1

Doing Business AsCrescent Urology Institute

Secondary Practice Location 1

Location 16156 Richmond AveHouston, TX 77057-6210 · Phone (713) 366-7831 · Fax (713) 482-5815

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odr Pediatric Urology Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Odr Pediatric Urology Institute PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dung Pham, M.D
Urology
NPI 1932543246
12000 RICHMOND AVE STE 175
Houston, TX 77082
(713) 366-7831
✔ PECOS✔ Accepts MedicareSame address
Bryan Pham, M.D.
Urology
NPI 1154702033
1200 BINZ ST STE 690
Houston, TX 77004
(713) 366-7831
✔ PECOS✔ Accepts Medicare12 mi
Peter Hinh, MD
Urology
NPI 1033404629
1200 BINZ ST STE 690
Houston, TX 77004
(713) 366-7831
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2177701

Odr Pediatric Urology · Houston, TX
Active · expires Jan 15, 2028
CLIA Number45D2177701
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorDung Pham
Laboratory Phone(713) 366-7831
Laboratory LocationOdr Pediatric Urology1200 Binz St, Ste 690, Houston, TX 77004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odr Pediatric Urology Institute PLLC's NPI number?

The NPI number for Odr Pediatric Urology Institute PLLC is 1184280695. It was assigned to this organization in the NPPES registry on May 10, 2019. The provider is doing business as Crescent Urology Institute.

Where is Odr Pediatric Urology Institute PLLC located?

Odr Pediatric Urology Institute PLLC is located at 12000 Richmond Ave Ste 175, Houston, TX 77082. The listed phone number is (713) 366-7931.

What is Odr Pediatric Urology Institute PLLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Odr Pediatric Urology Institute PLLC enrolled in Medicare?

Yes. Odr Pediatric Urology Institute PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odr Pediatric Urology Institute PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Urology, reassign their Medicare billing to Odr Pediatric Urology Institute PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Odr Pediatric Urology Institute PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2177701) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Odr Pediatric Urology Institute PLLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.